FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1192852
1. GOVERNMENT AFFAIRS COMMITTEE OF AXIS SPECIALTY US SERVICES INC
11680 Great Oaks WaySuite 500
Alpharetta, GA 30022
Email: denise.pagliarulo@axiscapital.com;darral.aquino@axiscapital.com
2. Date: 09/26/2017
3. FEC Committee ID #: C00453571 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Committee ID# C00453571GOVERNMENT AFFAIRS COMMITTEE OF AXIS SPECIALTY US SERVICES INC
11680 Great Oaks Way
Suite 500
Alpharetta, Georgia 30022
Affiliated Relationship Code: Affiliated Committee
AXIS Specialty US Services Inc.
11680 Great Oaks Way Suite 500
Alpharetta, Georgia 30022
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Denise Cristina Pagliarulo11680 Great Oaks Way
Ste 500
Alpharetta, Georgia 30022
Title: Treasurer
Phone # (678) 746-9476
Designated Agent(s):
Darral Aquino11680 Great Oaks Way
Ste 500
Alpharetta, Georgia 30022
Title: Assistant Treasurer
Phone # (678) 745-9648
Banks or Depositories
Wells Fargo BankP.O. Box 63020
San Francisco, California 94163